Provider Demographics
NPI:1639508336
Name:ARM, FRED H (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:H
Last Name:ARM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 BUENA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-4024
Mailing Address - Country:US
Mailing Address - Phone:510-232-2559
Mailing Address - Fax:510-236-2566
Practice Address - Street 1:115 BUENA VISTA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-4024
Practice Address - Country:US
Practice Address - Phone:510-232-2559
Practice Address - Fax:510-236-2566
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist